Piles

Piles are swollen and inflamed veins in the anal canal. They may be internal (inside the rectum) or external (around the anus). Common in adults, pregnant women, and people with chronic constipation.

1. Causes of Piles

a. Constipation

• Straining during bowel movements
• Hard stools damaging anal veins

b. Chronic Diarrhea

• Irritates anal area → swelling

c. Low-Fiber Diet

• Leads to constipation

d. Sedentary Lifestyle

• Sitting for long hours
• Lack of exercise

e. Pregnancy

• Increased pelvic pressure
• Hormonal changes

f. Obesity

• Extra pressure on rectal veins

g. Heavy Weight Lifting

• Increases abdominal pressure

h. Other Causes

• Anal infections
• Aging (weakened tissues)
• Family tendency

2. Symptoms of Piles

Internal Piles

• Painless bleeding during stool
• Blood on toilet paper or in toilet
• Prolapse (lump coming out) in advanced cases
• Feeling of incomplete evacuation

External Piles

• Pain during stool
• Swelling or lump around anus
• Itching
• Discomfort while sitting
• Clot formation (thrombosed piles → severe pain)

Emergency Symptoms

• Severe bleeding
• Intense pain
• Clotting (thrombosis)
• Infection

3. Diagnosis of Piles

a. Physical Examination

• Inspection of anal area

b. Digital Rectal Examination (DRE)

c. Proctoscopy / Anoscopy

• Direct view of internal haemorrhoids

d. Sigmoidoscopy / Colonoscopy (if needed)

• For heavy bleeding or to rule out other diseases

4. Treatment of Piles

Treatment depends on severity.

Home Remedies

• Warm sitz bath (10–15 minutes, 2–3 times/day)
• Fiber-rich diet
• Drink 2–3 liters of water
• Avoid straining during stool
• Use stool softeners
• Cold compress to reduce swelling

SURECARE HOMEOPATHY View in Treating Piles

Homeopathy views piles as a local expression of internal imbalance, focusing on constipation tendency, venous weakness, and emotional stress.

a. Individualized Treatment

Remedies are selected based on:

• Type of piles (bleeding/non-bleeding, external/internal)
• Pain pattern
• Constipation/diarrhea
• Bleeding quantity
• Triggering food
• Emotional state

Homeopathy aims to:

• Reduce swelling
• Stop bleeding
• Relieve pain/itching
• Improve bowel habits
• Prevent recurrence

What we Homeopathic Doctors Aim For

• Long-term cure, not temporary relief
• Strengthen venous walls
• Normalize bowel habits
• Reduce recurrence
• Improve lifestyle + diet compliance

5. Prevention of Piles

Diet + Lifestyle

• High-fiber diet (20–30 g/day)
• Drink plenty of water
• Avoid prolonged sitting
• Exercise daily
• Don’t suppress the urge to pass stool
• Avoid straining
• Avoid lifting heavy weights
• Maintain healthy weight

Avoid Constipating Foods

• Excessive tea/coffee
• Spicy food
• Red meat
• Alcohol
• Packaged and processed foods

6. Diet for Piles

Foods to Include

• Whole grains (oats, brown rice)
• Fruits: banana, papaya, apple, pear
• Vegetables: spinach, carrots, beans
• Legumes: lentils, chickpeas
• Salads
• Curd/yogurt
• Warm water
• Coconut water
• Isabgol (psyllium husk)

Foods to Avoid

• Spicy & oily foods
• White bread, maida
• Red meat
• Deep-fried items
• Alcohol
• Carbonated drinks
• Excess tea/coffee
• Low-fiber foods (chips, biscuits)